解开南非制定国家毒品政策的过程 - - 全民健康覆盖的教训
Andrew L Gray1,2, Fatima Suleman3,2
1Division of Pharmacology, Disciple of Pharmaceutical Sciences, University of KwaZulu-Natal, Durban, South Africa.
Journal of pharmaceutical policy and practice
|July 19, 2024
概括
南非国家药物政策 (NDP) 需要紧急修订. 关键组成部分缺乏证据和信任,阻碍了全民健康覆盖的努力和政策的一致性.
科学领域:
- 卫生政策分析 卫生政策分析
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 南非国家毒品政策 (NDP) 于1996年在重大政治转型期间建立.
- 该政策的初步制定和实施发生在社会重大变革时期.
研究的目的:
- 评估国家药物政策的制定和早期实施阶段所吸取的经验教训.
- 评估政策流程对NDP有效性和相关性的影响.
主要方法:
- 进行了六次深入面对面的采访,与有意挑选的关键利益相关者进行了面对面的采访.
- 采用半结构化采访,录制和转录,然后以沃尔特和吉尔森模型为指导进行提取性主题分析.
主要成果:
- 新兴的主题包括"证据"",信任"和"展望未来".
- 鉴定了一些核心NDP概念缺乏强有力的证据,这些概念仍然没有得到解决.
- 发现,在政策制定过程中的不信任阻碍了利益相关者的参与,影响了政策内容和选择.
- 由于未能随着时间的推移更新国家发展计划,政策的一致性和与卫生改革的整合受到削弱.
结论:
- 随着南非朝着全民健康覆盖的方向迈进,迫切需要对过时的国家药物政策组成部分进行审查.
- 解决证据差距和培养信任对于提高政策有效性和实现健康公平至关重要.
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